PLEASE NOTE: Transmission via this website is unencrypted. Please take this into consideration when communicating and do not provide confidential information or health information. By submitting this form via this website, you acknowledge and accept that risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "I agree to the terms & conditions" you agree to hold Illumination Psychotherapy harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
